{% extends "_base.htm" %}
{% block bodycontent %}
      <h1>New Account Request</h1>
      <p>
      Please enter your information below:
      </p>
      <form method="post" action="/apply">
      Name: <input type="text" name="name"/> <br/>
      Account: <input type="text" name="account"/> <br/>
	Stop date: <input type="text" name="stopdate"/> <br/>
	Stop time: <input type="text" name="stoptime"/> (do you remember?)<br/>
	Email address: <input type="text" name="emailaddress"/> <br/>
      Password: <input type="password" name="password"/> <br/>
      <input type="submit" value="Create"/> 
      <input type="submit" value="Cancel" 
          onclick="window.location='/'; return false;"/>
      </p>
      {% ifnotequal error None %}
       <p>
       {{ error }}
       </p>
      {% endifnotequal %}
{% endblock %}
